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Oral Health Disparities in Publicly Insured Children

公共保险儿童的口腔健康差异

基本信息

批准号：
7475832
负责人：
TEGWYN H BRICKHOUSE
金额：
$ 14.44万
依托单位：
VIRGINIA COMMONWEALTH UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2005
资助国家：
美国
起止时间：
2005-09-15 至 2010-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7475832
关键词：
Address Age Age-Years Area Award Blue Cross Blue Shield Caring Case Management Child Child health care Childhood Classification Clinical Clinical Research Condition Country Data Set Dental Dental Care Dental Insurance Dental caries Dentistry Development Effectiveness Eligibility Determination Employee Enrollment Faculty Family Fee-for-Service Plans Geographic state Health Insurance Health Services Accessibility Health Status Health education Healthcare Hospitals Income Insurance Low income Managed Care Measures Medicaid Medical Mentorship Methods North Carolina Numbers Nursery Schools Oral health Outcome Performance Phase Transition Policies Prevention Preventive Process Process Measure Provider Purpose Qualifying Quality of Care Race Range Research Research Design Research Personnel Research Priority Screening procedure Security Services Structure System Techniques Tooth Loss Training United States Agency for Healthcare Research and Quality United States National Institutes of Health Virginia aged career cohort demographics health disparity improved interest outreach programs

项目摘要

DESCRIPTION (provided by applicant): This application is for a NIH Career Award through the Faculty Transition Phase of the NIDCR Scholar Development and Faculty Transition Award. This application proposes a comprehensive interdisciplinary program of necessary training and mentorship to develop into an independent investigator. The applicant has an established record of commitment and interest in research and academic dentistry. Problem: There are significant disparities in access to dental care in this country, particularly for low-income children and those with special health care needs. Purpose: This project investigates disparities in access to dental care and pediatric performance measures of oral health care provided to children (1-18 years) enrolled in public insurance programs that currently exist in North Carolina and Virginia. Methods: North Carolina's (NC) public insurance dental plans (Medicaid/SCHIP) are administered as fee-for-service programs, while Virginia's (VA) publicly insured children are enrolled in both managed care organizations and fee-for-service dental programs. This project will examine the impact of health care organizational factors such as managed care versus fee-for-service programs and the difference in plan performance measures on pediatric oral health outcomes. Aims: The first study will describe the dynamics of enrollment and the access to dental services over a three-year period (2001-2003) of publicly insured children in both states. The second study will examine the performance of dental plans (utilization, effectiveness of prevention and quality) for children over this three-year period. The third study will examine the likelihood of hospital use versus the conventional dental setting for enrolled children 1-5 years of age. The fourth study is a feasibility project aimed at exploring the clinical implications of oral health case management in the medical arena. Benefit: This mix of quantitative techniques and a clinical study will be utilized to address the NIDCR Priority Research Area of eliminating oral health disparities.

描述(由申请者提供)：此申请是通过NIDCR学者发展和教师过渡奖的教师过渡阶段获得的NIH职业奖。这项申请提出了一个全面的跨学科的必要的培训和指导计划，以发展成为一名独立的调查人员。申请人有承诺和对研究和学术牙科感兴趣的既定记录。问题：这个国家在获得牙科保健方面存在很大差距，特别是低收入儿童和有特殊卫生保健需要的儿童。目的：该项目调查北卡罗来纳州和弗吉尼亚州现有公共保险计划中为儿童(1-18岁)提供的口腔保健在获得牙科保健和儿科表现方面的差异。方法：北卡罗来纳州(北卡罗来纳州)的公共保险牙科计划(Medicaid/SCIP)作为收费计划进行管理，而弗吉尼亚州(弗吉尼亚州)的公共保险儿童同时参加管理性护理组织和收费牙科计划。该项目将研究卫生保健组织因素的影响，如管理性保健与收费服务计划，以及计划绩效衡量标准对儿童口腔健康结果的差异。目的：第一项研究将描述两个州公共保险儿童在三年期间(2001-2003)的登记动态和获得牙科服务的情况。第二项研究将审查这三年期间儿童牙科计划的绩效(利用率、预防效果和质量)。第三项研究将检查1-5岁注册儿童使用医院和传统牙科环境的可能性。第四项研究是一项可行性研究，旨在探讨口腔健康个案管理在医疗领域的临床意义。好处：这种定量技术和临床研究的组合将被用来解决NIDCR消除口腔健康差异的优先研究领域。